ANXIETY AND
MOOD DISORDER
Sanjida Sultana, MPH
OUTLINE
1 2
Depression
Anxiety
Are stress and anxiety always a bad
thing?
MENTAL HEALTH WORKFORCE TRAINING PROGRAM
ANXIETY DISORDERS
F42
F40
OBSESSIVE-COMPULSIVE DISORDER
PHOBIC ANXIETY DISORDERS
PERSISTENT AND RECURRENT IRRATIONAL
"IT IS A STRONG, IRRATIONAL
THOUGHTS (OBSESSIONS), RESULTING IN
FEAR OF SOMETHING THAT POSES
MARKED ANXIETY AND REPETITIVE
LITTLE OR NO ACTUAL DANGER."
EXCESSIVE BEHAVIORS (COMPULSIONS) AS
A WAY TO TRY TO DECREASE THAT ANXIETY
F43
F41 REACTION TO SEVERE STRESS, AND
OTHER ANXIETY DISORDERS ADJUSTMENT DISORDERS
PANIC DISORDER ACUTE STRESS REACTION
POST-TRAUMATIC STRESS DISORDER
GENERAL ANXIETY DISORDER
ADJUSTMENT DISORDERS
AND MUCH MORE OTHER ANXIETY DISORDERS
OTHER ANXIETY DISORDERS
SYMPTOMS
TYPE ABRUPT SURGE OF INTENSE FEAR OR
PANIC DISORDER INTENSE DISCOMFORT WITH
(Multiple episodes MULTIPLE SOMATIC SYMPTOMS
of panic attack) DEREALIZATION
DEPERSONALIZATION
FEAR OF LOSING CONTROL
FEAR OF DYING
GENERAL ANXIETY DISORDER EXCESSIVE ANXIETY AND WORRY
RESTLESSNESS
MUSCLE TENSION, FATIGUED
DIFFICULTY CONCENTRATING
IRRITABILITY
SLEEP DISTURBANCE
Panic Attack
Panic attack: A panic attack is a sudden episode of intense fear or
discomfort that reaches a peak within minutes. It is often accompanied by
physical symptoms like a racing heart, shortness of breath, dizziness,
or chest pain, even though there is no real danger present.Four or more
of a specific set of physical symptoms accompany a panic attack
Persistent concern or worry: After experiencing at least one panic attack,
the individual becomes concerned about having more attacks. This worry is
not fleeting; it lasts for at least a month. They may fear when the next
attack will occur or worry about what could happen during an attack, such
as losing control, going crazy, or even dying.
Maladaptive behavior: In response to the fear of having another panic
attack, the person might change their behavior in unhealthy ways. For
example, they may start avoiding places or situations where they think an
attack might occur, such as public spaces, work, school, or social
gatherings. This avoidance can disrupt their daily life, as they may
withdraw from normal activities to try and prevent future attacks.
A discrete period of intense fear or discomfort, in which four An abrupt surge of intense fear or intense discomfort that
Panic or more of the following symptoms developed abruptly and reaches a peak within minutes and during which time four
Attac reached a peak within 10 minutes
or more of the following symptoms occur.
k
Palpitations, pounding heart, or accelerated heart rate
Sweating
Trembling or shaking
Sensations of shortness of breath or smothering
Feeling of choking
Chest pain or discomfort
Nausea or abdominal distress
Feeling dizzy, unsteady, lightheaded, or faint
Derealization (feelings of unreality) or depersonalization
(being detached from oneself)
Fear of losing control or “going crazy”
Fear of dying
Paresthesias (numbness or tingling sensation)
Chills or hot flushes.
RISK FACTORS
Panic Disorder
Woman
divorce or separation
young adulthood
caffeine
family history
stressful life
events
General Anxiety Disorder
Woman
late adolescence or early adulthood
OUTLINE
1 2
Depression
Anxiety
DEPRESSIVE DISORDERS
Depressive Episode F32
2 weeks of 5 symptoms including Major Depressive Disorder
either 1. depressed mood or single episode
2. loss of interest F33
and
Recurrent Major Depressive Disorder
weight change (5% in a
2nd episode after at least 2
month) sleep disturbance
months of resolution
psychomotor agitation or retardation
fatique F34
Dysthymia
worthlessness
low-grade for 2 years
diminished ability to think/ concentrate
insidious onset, with origin often
thought of death
in childhood or adolescence
persistent or intermittent course
RISK FACTORS
Depression
Woman
Age 20-50 y. (40)
alcohol and drugs of abuse
without close relationships
divorced or separated
genetics
Long-standing stressful life events
losing a parent before age 1 1
years
Worksheet Time!!!!
Depression- 3.5.10.13.16.17.21
Anxiety: 2.4.7.9.15.19.20
Stress: 1.6.8.11.12.14.18
